Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Lloyd Kilgore Jr., DMD

Individual provider Dentist · NPI 1295719201

Dr. Jack Lloyd Kilgore Jr., DMD is a Dentist in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2005.

Licensed in
SC
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

41 Beaver Dam Ct
Columbia, SC 29223-3122
Phone: (803) 699-9697
Fax: (803) 736-5358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2662 (SC)

Record details

NPI number1295719201
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESJuly 19, 2026

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